Individual
JOYCE BURK BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
45 NW GREELEY AVE, BEND, OR 97703-2943
(541) 420-5875
Mailing address
17007 BUCK HORN DR, SISTERS, OR 97759-9682
(541) 420-5875
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
364760
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
364760
STATE OF OREGON OCCUPATIONAL THERAPY LICENSING BOARD
OR
Enumeration date
12/20/2018
Last updated
12/20/2018
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